Which Assessment Finding Indicates to the Nurse That the Patient

question 1

Multiple Choice

Which assessment finding indicates to the nurse that the patient is at high risk for developing a pressure injury?

• A) Serum total protein level of 4.6 g/dL
• B) Braden Scale score of 22
• C) Cetirizine 5 mg PO daily
• D) Fasting serum glucose level 84 mg/dL

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Definitions:

Relaxation

Techniques or practices that reduce stress and tension in the body and mind, promoting a state of calm.

Systematic Desensitization

A therapeutic technique used to reduce phobias and anxiety by gradually exposing the person to the feared object or situation in a controlled manner.

Somatic System Disorders

Conditions in which an individual experiences physical symptoms that have a psychological origin, often without a medical explanation.

Body Sensations

Physical feelings or perceptions originating from within the body, such as pain, temperature, or internal movement.